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Research Description

The importance of improvement in overnight (fasting) glucose levels versus post-meal glucose levels on improving mildly or greatly elevated HbA1c values in children and adults with type 1 diabetes has not been studied. The Star-3 database would allow us to evaluate which of the two values (fasting versus post-meal) relate more to improvement in HbA1c levels (=0.5%) for people with HbA1c values of 9.0-9.5%, 8.0-8.9% or 7.0-7.9%. Our hypothesis is based on data previously found for adults with type 2 diabetes: a) HbA1c improvements for people having an initial 9.0 to 9.5% will relate primarily to improving the fasting (overnight) glucose level, and b) HbA1c improvements for people having an initial HbA1c value of 7.0 to 7.5% will relate primarily to improving post-meal glucose levels. Having this information will help care-providers to better focus on how to help their patients with type 1 diabetes to improve their HbA1c levels, and to reduce the risk for later micro- and macro-vascular diabetes complications.

Research Profile

What area of diabetes research does your project cover? What role will this particular project play in preventing, treating and/or curing diabetes?This research evaluates the best methods to improve blood sugar control in people with type 1 diabetes. Better sugar control will help to prevent diabetes complications.

If a person with diabetes were to ask you how your project will help them in the future, how would you respond?This research evaluates the best methods to improve blood sugar control in people with type 1 diabetes. Better sugar control will help to prevent diabetes complications.

Why is it important for you, personally, to become involved in diabetes research? What role will this award play in your research efforts?I care for many people with diabetes and author articles and books related to optimal care. This research will allow provision of improved knowledge.

In what direction do you see the future of diabetes research going?Continued improved care and prevention of complications.